ERIC WILLIAM KELLEHER (PA-C) – Physician Assistant, NPI 1366626079
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ERIC WILLIAM KELLEHER (PA-C)
1000 Lincoln St Ste 101
Fort Morgan, CO 807013290
Phone: (970) 867-3391
Fax: (970) 867-1868
Type: Location
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802912215
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Mailing
Poudre Valley Hospital, 1024, South Lemay Avenue, Fort Collins, Larimer County, Colorado, 80524, United States
FORT COLLINS, CO 805243929
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110210001039 | I | Physician Assistant | CO | TBD |
| I20180823001708 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 153 | 147 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 118 | 116 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 59 | 50 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 38 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 37 | 36 | $0 |
Insurance plans in this area (ZIP 80701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | MA | |
| Physician Assistant | FL | |
| Nurse Practitioner | NH | |
| Physician Assistant | WA | |
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | ME | |
| Physician Assistant | AK | |
| Nurse Practitioner | MI |
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